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UNITED STATES POSTAL SERVICE <br />SENDER: COMPLETE THIS SECTION <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Daniel Bear <br />Bear Coal Company, Inc. <br />1326 War Emblem Lane <br />Rock Springs, WY 82901 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />Ili iii ill i F i3Ii III II Fi I ii F lF l iii il3FIIFFIIif11Fliit iii' <br />RECE <br />DEC 3 <br />Division of Re Ar <br />M ning & Saf <br />I OD I <br />A. Signat <br />X <br />4. Restricted Delivery'? (Extra Fee) <br />7011 3500 0002 9607 9507 <br />First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />° Sender: Please print your name, address, a , I R box ° <br />State of Colorado SEC J 7�1 �' <br />Department of Natural Resources Re +on <br />Division of Reclamation, Mining & Safety „ o & S a f e ty <br />1313 Sherman Street, Room 215 0;v09 <br />Spec S ..* SB t Or) <br />File C- IgRl-d3j <br />Denver, CO 80203 <br />Cv-2io IZ-O0c1 <br />ow,..4 -- No 44 04- 11%,Aci crcn ra -12—I <br />COMPLETE THIS SECTION ON DELIVERY <br />❑ Agent <br />❑ Addressee <br />B. by (Printed Name) C. Date of Delivery <br />IIJ7 � Ie.L i ip) /r ti <br />D. Is delivery address in item 1? ❑� Yes <br />ES, enter deliv ijelow: 1:1 No <br />V E <br />4 4 . 0 ,' <br />12012 '0/2 <br />641 <br />ed Mail .[� F Mail <br />Registered ❑ Return Receipt for Merchandise <br />❑ insured Mail ❑ C.O.D. <br />❑ Yes <br />Domestic Return Receipt 102595 - 02 - - 1540 <br />